Abstract：
:This retrospective clinical study reports on the experience of palliative venting gastrostomy (PVG) in an integrated acute teaching hospital and hospice-based palliative care service over a seven-year period (1989-97). PVG was performed for 51 patients with refractory nausea and vomiting resulting from varying degrees and levels of persisting or intermittent malignant bowel obstruction. There were 32 females and 19 males; the mean age was 61 years (range 25-86 years). All patients had advanced and incurable cancer with intra-abdominal spread, originating from the following primary sites: colon and rectum (27), ovary (16), breast (2), pancreas (2), and other (4). The venting gastrostomy tube was inserted endoscopically by a railroading technique in 46 patients (using a 16- to 20-French Dobhoff PEG tube), at open laparotomy in four cases and under radiological (abdominal computerized tomography) control in one case. Endoscopic insertion was attempted and abandoned for technical reasons in a further two cases. The median survival of all 51 patients from the time of gastrostomy insertion was 17 days (range 1-190). In 47/51 (92%), the symptoms of nausea and vomiting were relieved by the procedure, and these patients experienced restoration of some level of oral soft food and fluid intake. Twenty patients were discharged home, and six died at home. In a small group of highly selected patients, for whom pharmacological measures failed to palliate the effects of malignant bowel obstruction, PVG was shown to be a safe and effective means of abolishing or substantially improving vomiting. Provided that the intervention is appropriate to the given clinical situation and acceptable to the patient, it should be considered.
journal_name
Palliat Medjournal_title
Palliative medicineauthors
Brooksbank MA,Game PA,Ashby MAdoi
10.1191/0269216302pm590oasubject
Has Abstractpub_date
2002-11-01 00:00:00pages
520-6issue
6eissn
0269-2163issn
1477-030Xjournal_volume
16pub_type
杂志文章abstract：BACKGROUND:It is often suggested that terminally ill patients favour end-of-life care at home. Yet, it is unclear how these preferences are formed, if the process is similar for patients and family caregivers, and if there are discrepancies between preferences for place of care and place of death. Understanding these n...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216319845794
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Moral distress and burnout related to end-of-life decisions in neonates is common in neonatologists and nurses working in neonatal intensive care units. Attention to their emotional burden and psychological support in research is lacking. AIM:To evaluate perceived psychological support in relation to end-of...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216319888986
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Bisphosphonates are the treatment of choice for hypercalcaemia of malignancy (HCM) but there is no consensus regarding which drug or dose should be given. We designed a systematic review to investigate the efficacy of bisphosphonates in the treatment of HCM. METHODS:We identified randomized controlled trial...
journal_title：Palliative medicine
pub_type： 杂志文章,评审
doi：10.1191/0269216304pm914ra
更新日期：2004-07-01 00:00:00
abstract：BACKGROUND:The evidence supporting pharmacological treatment of death rattle is poor; yet, anticholinergic drugs feature in end-of-life care pathways and guidelines worldwide as a treatment option. AIM:This qualitative arm of a wider study aimed to explore important issues which health-care professionals associated wi...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216312464407
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:Population ageing will lead to more deaths with an uncertain trajectory. Identifying patients at risk of dying could facilitate more effective care planning. AIM:To determine whether screening for likely death within 12 months is more effective using screening tools or intuition. DESIGN:Randomised controll...
journal_title：Palliative medicine
pub_type： 杂志文章,随机对照试验
doi：10.1177/0269216317698621
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVES:To identify and explore the educational needs of children's hospice doctors in England. DESIGN:A descriptive quantitative and qualitative survey. SETTING:Children's hospices in England. PARTICIPANTS:All children's hospice doctors (n =55) in England were approached, and 35 (65%) consented. INTERVENTIONS:A...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/0269216304pm902oa
更新日期：2004-12-01 00:00:00
abstract：:Using a decision-making and treatment checklist developed to facilitate the at-home palliative sedation process, we assessed the incidence and efficacy of palliative sedation for end-of-life cancer patients with intractable symptoms who died at home. We retrospectively reviewed the medical records of 370 patients who ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216309359996
更新日期：2010-07-01 00:00:00
abstract：:The word 'euthanasia' has been used with a variety of meanings, all of which refer to one precise action: the killing of a suffering person. A moral evaluation of such an act can lead us either to condemn it a priori, shutting the door upon any argument, or to allow further discussion. But the issue must be discussed,...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/026921639300700304
更新日期：1993-01-01 00:00:00
abstract：:This paper is a secondary observation of a larger pilot study. The Assessing Caregivers for Team Intervention via Video Encounters intervention project enabled caregiver participation in hospice interdisciplinary team meetings. This paper used the team observation scale to assess the impact of caregiver involvement on...
journal_title：Palliative medicine
pub_type： 杂志文章,多中心研究
doi：10.1177/0269216309352066
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:While several studies have examined 'what' families want with regard to the place of a child's end-of-life care and death, few have explored 'how' parents reach a decision. AIMS:(1) to develop a model explaining how parents of a child with a life-threatening illness in Greece decide about the place of end-o...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216320967547
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:ENABLE (Educate, Nurture, Advise Before Life Ends) II was one of the first randomized controlled trials (RCTs) examining the effects of a concurrent oncology palliative care intervention on quality of life, mood, and symptom control for advanced cancer patients and their caregivers. However, little is known ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216312445188
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Depressive disorders are common among cancer patients. Ketamine can quickly relieve depression, and its subcutaneous administration appears to be as effective as and probably safer than its standard intravenous administration. Herein, we report a case verifying the antidepressant effect of a subcutaneous esk...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216320910351
更新日期：2020-06-01 00:00:00
abstract：:The Research Network of the European Association for Palliative Care (EAPC) performed a survey of 3030 cancer patients from 143 palliative care centres in 21 European countries. The survey addressed pain intensity and the use of non-opioid analgesics, adjuvant analgesics and opioids. Patients were treated with analges...
journal_title：Palliative medicine
pub_type： 杂志文章,多中心研究
doi：10.1191/0269216305pm1054oa
更新日期：2005-09-01 00:00:00
abstract：:The relationship between opioid dose, dantron dose, bowel function and physical functioning (measured with the modified Barthel Index) was determined in a sample of 50 inpatients with advanced cancer. Data were collected prospectively from chart review and patient interviews one week after admission to allow for proto...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/0269216303pm773oa
更新日期：2003-07-01 00:00:00
abstract：:A system of 12-hour nursing shifts was adopted at a newly-opened independent hospice. This paper presents the results from an exploratory, descriptive study in which nursing staff reported perceived advantages, disadvantages and satisfaction with the 12-hour shift system. A small sample (n = 11) of both qualified and ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/026921639500900206
更新日期：1995-04-01 00:00:00
abstract：:The purpose of this study was to compare patient and proxy (physician and nurse) assessments of symptoms in advanced cancer patients. The sample consisted of 49 patients with advanced cancer admitted to an acute palliative care unit. Three independent assessments were completed for each patient on two occasions within...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/026921699675854885
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND:Family members often take on many caring responsibilities, with complex issues and challenges to consider. Feelings of preparedness, competence and reward are identified as concepts that may protect caregiver wellbeing and decrease negative outcomes related to caregiving. AIM:This study aimed to translate, ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216311419987
更新日期：2012-10-01 00:00:00
abstract：:The high prevalence of pain and other symptoms throughout the HIV disease trajectory, the need for management of side effects related to antiretroviral therapy, the continuing incidence of cancers and new emerging co-morbidities as a result of extended life expectancy under new therapeutic regimes, and the ongoing nee...
journal_title：Palliative medicine
pub_type： 杂志文章,评审
doi：10.1191/0269216305pm1005oa
更新日期：2005-04-01 00:00:00
abstract：:We investigated the impact of perception of socioeconomic burden on beliefs regarding a patient's autonomy in end-of-life (EOL) decision making. We also sought to identify the characteristics of individuals who advocate patient autonomy and their attitudes toward other EOL issues. A total of 1055 individuals from the ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216308099244
更新日期：2009-01-01 00:00:00
abstract：:Clinical trials in palliative care involve multiple issues relating to patient populations, interventions and endpoints. Careful data collection and analysis of variables are vital for good clinical research in this complex area. ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/026921601668441770
更新日期：2001-03-01 00:00:00
abstract：:A survey of all district health authorities in England was conducted in order to describe current patterns of needs assessment and contract setting for palliative care services. Outcome measures included the completion of needs assessments in the past five years, the type of data used for needs assessment, and recomme...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/026921639500900403
更新日期：1995-10-01 00:00:00
abstract：BACKGROUND:People with dementia requiring palliative care have multiple needs, which are amplified in long-term care settings. The European Association for Palliative Care White Paper offers recommendations for optimal palliative care in dementia integral for this population, providing useful guidance to inform interve...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216319900141
更新日期：2020-04-01 00:00:00
abstract：:This is a review of tools that have been developed to assess pain in children, with a brief evaluation of their practicality and validity. There are some suggestions for the direction of future research in the development and use of the scales. ...
journal_title：Palliative medicine
pub_type： 杂志文章,评审
doi：10.1177/026921639701100503
更新日期：1997-09-01 00:00:00
abstract：:Back pain resulting from spinal instability in metastatic bone disease can be difficult to alleviate by pharmacological methods and surgical intervention is frequently required. This paper discusses the treatment options with three illustrative case reports. ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/026921639300700311
更新日期：1993-01-01 00:00:00
abstract：:The main focus of palliative care services is to improve patients' quality of life (QOL). The potential value of assessment of QOL in palliative care is being increasingly recognized. The McGill Quality of Life questionnaire (MQOL) is designed specifically for palliative care patients, but its cross-cultural validity ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1191/026921601680419438
更新日期：2001-09-01 00:00:00
abstract：BACKGROUND:Refractory breathlessness in advanced chronic disease leads to high levels of disability, anxiety and social isolation. These result in high health-resource use, although this is not quantified. AIMS:To measure the cost of care for patients with advanced disease and refractory breathlessness and to identify...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216317690994
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:The complexity of end-of-life care, represented by a large number of units caring for dying patients, different types of organizations and difficulties in identification and prognostication, signifies the importance of finding ways to measure the quality of end-of-life care. AIM:To establish, test and manag...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216311414758
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Patients with advanced cancer often have to make difficult decisions, such as how much to spend on moderately life-extending treatments. This and other end-of-life decisions are also influenced by their informal caregivers. Understanding the relative value that patients and their caregivers place on various ...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216315578803
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Sedatives are frequently used towards the end of life. However, there is scarce information when their use is labelled as 'palliative sedation'. AIM:To assess the use and labelling of 'continuous administration of sedatives within the last 7 days of life', based on objective operational criteria, on a palli...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/0269216318764095
更新日期：2018-07-01 00:00:00
abstract：:This retrospective study examined the influence of a hospital palliative care team on the activity of a local hospice home care team over a four-year period from May 1989 to April 1993 in East Leeds. The increasing referral to death interval observed in home care patients over this period appears to be due to the pres...
journal_title：Palliative medicine
pub_type： 杂志文章
doi：10.1177/026921639400800308
更新日期：1994-01-01 00:00:00
